Individual provider Active NPI

Mariella Petrowski, P.T.

  • Physical Therapist
  • Tewksbury, MA
National Provider Identifier
1295914901
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8295 Issued in MA
Practice address
33 Henry J Dr
Tewksbury, MA 01876-3719
Phone
(617) 909-3721
Fax
(978) 412-9991
NPI assigned
Oct 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8295 MA Primary

Addresses

Primary practice location

33 Henry J Dr
Tewksbury, MA 01876-3719

Mailing address

33 Henry J Dr
Tewksbury, MA 01876-3719
Phone (617) 909-3721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231108002693 MA Practitioner - Physical Therapist in Private Practice 8426405762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy at Home Physical Therapy, LLCGroup PAC ID 7012324171, 8 clinicians

Practice addresses (Care Compare)

336 Boston St
North Andover, MA 01845-6365
Phone (978) 684-2106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8295MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy at Home Physical Therapy, LLC Physical Therapist CurrentSince Oct 29, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1295914901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 HENRY J DR",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018763719",
            "telephone_number": "617-909-3721",
            "fax_number": "978-412-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 HENRY J DR",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018763719",
            "telephone_number": "617-909-3721",
            "fax_number": "978-412-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROWSKI",
        "first_name": "MARIELLA",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "8295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tewksbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.